Document Detail

The long-term effects of analgesia in labour.
MedLine Citation:
PMID:  10023434     Owner:  NLM     Status:  MEDLINE    
Women frequently use a mixture of analgesics to gain relief from the distress of childbirth and antenatally require information on their effectiveness and side-effects. One such example would be the reported long-term neonatal behavioural changes following systemic opioids such as pethidine. The most frequently reported maternal effects of epidural or spinal analgesia are prolonged symptoms of headache, backache and neurological sequelae. Large retrospective studies of postpartum symptomatology have focused on correlations with regional nerve blockade rather than on other more commonly used analgesics. Post-dural puncture headache is a recognized long-term complication of epidural nerve blockade. However, prospective studies have not confirmed any causal relationship between epidural analgesia and backache and neurological complications are five times more common after childbirth itself than after regional nerve blockade. Postpartum symptomatology describes significant morbidity in the community but its relationship to analgesia in labour is still to be proved.
J Durbridge; A Holdcroft
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Baillière's clinical obstetrics and gynaecology     Volume:  12     ISSN:  0950-3552     ISO Abbreviation:  Baillieres Clin Obstet Gynaecol     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1999-03-04     Completed Date:  1999-03-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8710782     Medline TA:  Baillieres Clin Obstet Gynaecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  485-98     Citation Subset:  IM    
Department of Anaesthesia and Intensive Care, Imperial College of Science, Technology and Medicine, Hammersmith Hospital, London, UK.
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MeSH Terms
Analgesia, Obstetrical / adverse effects*
Back Pain / etiology
Headache / etiology
Nervous System Diseases / etiology
Obstetric Labor Complications / prevention & control*
Pain / prevention & control*
Urinary Bladder Diseases / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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